Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $6,454.87 / $11,581.00	Facility		$2,421.00	$6,454.87	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.50 / $1,844.50 / $4,113.00	Professional		$503.50	$1,844.50	$4,113.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,425.00 / $3,967.00 / $25,522.00	Facility		$1,425.00	$3,967.00	$25,522.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26,999.73 / $60,749.39 / $72,899.27	Facility		$26,999.73	$60,749.39	$72,899.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78,974.21 / $104,998.95 / $104,998.95	Professional		$78,974.21	$104,998.95	$104,998.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $562.00 / $21,571.00	Facility		$425.00	$562.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,391.00 / $5,472.96 / $17,232.93	Professional		$1,391.00	$5,472.96	$17,232.93
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $530.00 / $1,200.00	Facility		$425.00	$530.00	$1,200.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,131.39 / $2,229.04 / $3,033.72	Professional		$1,131.39	$2,229.04	$3,033.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $6,227.00 / $9,483.00	Facility		$1,050.00	$6,227.00	$9,483.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00